Individual provider Active NPI

Desiree Nicole Hart, LPC

  • Professional Counselor
  • Towanda, PA
National Provider Identifier
1871260869
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC013242 Issued in PA
Practice address
24727 Route 6 Ste 2
Towanda, PA 18848-8257
Phone
(570) 265-0100
Fax
(570) 268-2756
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC013242 PA Primary

Addresses

Primary practice location

24727 Route 6 Ste 2
Towanda, PA 18848-8257

Mailing address

24727 Route 6 Ste 2
Towanda, PA 18848-8257
Phone (570) 265-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6501 Sheshequin Rd
Ulster, PA 18850-8335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC013242PAMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1871260869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24727 ROUTE 6 STE 2",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188488257",
            "telephone_number": "570-265-0100",
            "fax_number": "570-268-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24727 ROUTE 6 STE 2",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188488257",
            "telephone_number": "570-265-0100",
            "fax_number": "570-268-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "DESIREE",
        "middle_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towanda, PA

Sources for this page

Verify at the official NPI Registry.